Compliance Analyst II

Compliance Analyst IILocation: Columbia, MD - HybridSalary Information: $58,000 + 4,000 annual bonus potentialMaxim Healthcare Corporate Services is currently seeking a Compliance Analyst II. The Compliance Analyst II must maintain a comprehensive understanding of ethical principles and independence in their work. The Compliance Analyst II maintains the highest level of personal and professional conduct, duty, and responsibilities; additionally, this individual must remain objective and independent in all assignments. This position requires strict confidentiality with all compliance matters.Essential Duties and Responsibilities:Manages the repayment process from identification to refund completionReceives repayment notifications from various departments (Compliance, Legal, etc.) and reviews repayment requests for completeness; calculates repayment total as needed and or confirms that the repayment was accurately calculated; determines method of repayment if necessary and or routes to the appropriate locationResearches late timecards, patient loggings, reconciliations, etc.Summarizes ad hoc audit findings and preliminary recommendations for management reviewPrepares reports and reviews audit findings with Team Leads and OSM's as neededWorks with multiple departments on repayment matters as necessaryObtains billing and medical record information used to support Maxim's claims for reimbursementAnalyzes billing and medical record information to test for completion, accuracy, and conformance with policy, procedure, and reimbursement requirementsCompiles a report of billing and repayment determinations for distribution to the Regional VP, Controller, OSM, RCO and Claims Testing DepartmentEvaluates and examines internal controls for adequacyReviews management procedures and financial systems for accuracyAnswers inquiries and provides data to executives, management, auditors, and agencies as appropriateEnsures that all testing and information related to findings and proposed recommendations are appropriately documented and explained in an organized set of work papersAssists with Compliance-related investigations as neededParticipates in educational activities to ensure quality-related concerns are captured, communicated and addressed as neededParticipates in weekly conference calls and team meetingsMaintains current knowledge of rules, regulations and reimbursement issuesEnsures confidentiality of all information, especially medical information as related to the HIPAA regulationsDuring all phases of a review, maintains a positive working relationship with all employees to ensure that all work related encounters are productivePerforms other duties as assigned/necessaryMinimum Requirements:BA/BS required; degree(s) Healthcare Economics, Health Information Management and/orBusiness (Accounting/ Finance) preferredPrior auditing experience preferredAt least three (3) years of experience in healthcareAbility to maintain positive professional business relationshipsStrong project management skillsStrong organizational and interpersonal skills, along with strong attention to detailAbility to set priorities and meet time lines for performance expectationsAble to work independently with minimal supervision and demonstrates initiativeExcellent oral and written communication skillsAbility to professionally and confidentially handle personal information and maintain HIPAA ComplianceAdaptability to change and ability to prioritize competing dutiesMust be detail-orientedComputer proficiency, including Microsoft OfficeMust be ethical and possess the ability to remain impartial and objectiveAbility to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language may be requiredMaxim Benefits:Health and Wellness Medical/Prescription, Dental, Vision, Health Advocacy (company paid if enrolled Medical) and Health Advocate Employee Assistance ProgramRetirement and Financial Security: Employee Assistance Program, Health Savings Account, 401(k) + Company Match, Profit Sharing, Short and Long Term Disability, Primary Caregiver Leave, Parental Leave, Life and Basic Accidental Death & Dismemberment Insurance, Voluntary Group Life Insurance and Supplemental Accidental Insurance, Hospital Expense Protection Plan, Critical Illness Insurance, Dependent Care Flexible Spending Account, Home and Auto Insurance discounts, Pet Insurance and Legal benefitsLifestyle Benefits: Paid Time Off and Company Paid Holidays, Transportation Benefits, Educational Assistance Program, College Partnership Program and Employee Discount Program*Benefit eligibility is dependent on employment status.About Maxim Healthcare Maxim Healthcare has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed. Maxim Healthcare, Inc. ("Maxim") is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.